• Korean Journal of Psychosomatic Medicine
• /
• v.29 no.2
• /
• pp.95-101
• /
• 2021

Patients complaining with somatic symptoms are very common in clinical practice, and are often consulted to medical department. But it is difficult to treat well. The treatment of somatic symptom disorder is multi-modal as none of the methods on their own provide a satisfactory outcome. The treatment of somatic symptoms disorders is complicated by lack of boundary, conceptual clarity, and overemphasis on psychosocial causation and effectiveness of psychological treatments. In clinical practice all classes of psychotropics are used to treat somatic symptoms disorder. Drugs such as tricyclic antidepressants, serotonin reuptake inibitors(SSRI), serotonin and noradrenalin reuptake inhibitors (SNRI), atypical antipsychotics are studied. The evidence indicates that these drugs are effective in somatic symptom disorders. All classes of antidepressants seem to be effective against somatic symptom disorders. SSRIs are more effective against hypochondriasis and body dysmorphic disorder, and SNRIs appear to be more effective than other antidepressants when pain is predominant. The author suggest that psychiatrists should know how to treat patients complaining with somatic symptoms by using not only psychotherapeutic approach but also pharmacological treatment. It will be helpful to reduce suffering and increase quality of life of these patients.

• Journal of the Computational Structural Engineering Institute of Korea
• /
• v.33 no.4
• /
• pp.225-235
• /
• 2020

Ultrasonic investigation of damage detection has been widely used for non-destructive testing of various concrete structures. This study focuses on damage detection analysis with the aid of wave propagation in two-phase composite concrete with aggregate (inclusion) and mortar (matrix). To fabricate a realistic simulation model containing a variety of irregular aggregate shapes, the mesh generation technique using an image processing technique was proposed. Initially, the domains and boundaries of the aggregates were extracted from the digital image of a typical concrete cut-section. This enables two different domains: aggregates and mortar in heterogeneous concrete sections, and applied the grids onto these domains to discretize the model. Subsequently, finite element meshes are generated in terms of spatial and temporal requirements of the model size. For improved analysis results, all meshes are designed to be quadrilateral type, and an additional process is conducted to improve the mesh quality. With this simulation model, wave propagation analyses were conducted with a central frequency of 75 kHz of the Mexican hat incident wave. Several void damages, such as needle-shaped cracks and void-shaped holes, were artificially introduced in the model. Finally, various formats of internal damage were detected by implementing energy mapping based signal processing.

• The Journal of the Korean bone and joint tumor society
• /
• v.13 no.2
• /
• pp.96-104
• /
• 2007

Purpose: The authors investigated whether 35 flexible nail-rotating hinge composite reconstructions around knee joint minimize junctional osteolysis of host bone. Material and Method: The reconstructive technique was as follows: 1) en bloc tumor resection, 2) filling of the host bone marrow cavity with multiple Ender nails, 3) assembling the Ender nails and an Endo-Link type total knee component with wire and bone cement. Result: Mean follow-up was 53 months (ranged 30~79). At final follow-up, 29 patients retained a mobile joint. Resection of more than 40% of bone showed a positive relationship with junctional hypertrophy (p=0.028). Eight patients showed nail breakage and eight prostheses were removed due to early or late infection. The cumulative prosthetic survival rate was 33% at 6 year. Average functional score according to the MSTS criteria was 26.8. Conclusion: Mid-term evaluations showed that results were fair. The revision process was straightforward. Junctional hypertrophy observed appears to give some clues as to how to minimize osteolysis at the prosthesis-host junction after modular prosthesis fixation.

• Journal of Korean Academy of Oral and Maxillofacial Radiology
• /
• v.25 no.2
• /
• pp.399-408
• /
• 1995

The purpose of this study was to obtain information on the clinical and radiographic features of the dentigerous cysts in the jaws. For this study, the authors examined and analysed the clinical records and radiographs of 233 patients who had lesions of dentigerous cyst diagnosed by clinical and radiographic or histopathological examinations. And the obtained results were as follows: 1. Dentigerous cysts occurred the most frequently in the 2nd decade(38.2％) and occurred more frequently in males(67.4％) than in females(32.6％). 2. The most common clinical symptom was swelling of the jaw(33.9％), and the lesions were treated by the method of surgical removal. 3. The type of lesions was mainly observed as central type(72.5％), and size of the lesion was most frequently observed 2 - 2.9cm in the widest length. 4. The lesions were most frequently observed well-defined outline with hyperostotic border(49.8％), and smooth margin(73.4％), and homogeneous lesional radiolucency(79.4％). 5. Cortical thinning and expansion of the lesions(82.0％) were observed, and their direction were most frequently observed toward buccal side(64.0％). 6. The effect on the causative tooth were observed as tooth displacement(41.2％) and delayed root development(l9.3％), and the distance between cemento-enamel junction and lesional wall attachment of the causative tooth was mainly observed as below 2mm(79.6％). 7. The effect on the adjacent tooth were observed as loss of lamina dura(66.8％), root resorption(33.9％), and tooth displacement(31.5％). 8. The effects on the adjacent anatomic structures were observed as displacement of the mandibular canal(46.5％) and maxillary sinus or nasal cavity(72.2％).

• Journal of the Computational Structural Engineering Institute of Korea
• /
• v.34 no.3
• /
• pp.167-174
• /
• 2021

Recent investigation into the integrity of nuclear containment buildings has highlighted the importance of developing an elaborate diagnostic method to evaluate the distribution and size of cavities inside concrete walls. As part of developing such a method, this paper presents a finite element approach to modeling elastic waves propagating in the containment building walls of a nuclear power plant. We introduce a perfectly matched layer (PML) wave-absorbing boundary to limit the large-scale nuclear containment wall to the region of interest. The formulation results in a semi-discrete form with symmetric damping and stiffness matrices. The transient elastic wave equations for a mixed unsplit-field PML were solved for displacement and stresses in the time domain. Numerical results show that the sensitivity of displacement, velocity, acceleration, and stresses is large depending on the size and location of the cavity. The dynamic response of the wall slightly differs depending on the existence of the containment liner plate. The results of this study can be applied to a full-waveform inversion approach for characterizing cavities inside a containment wall.

• Composites Research
• /
• v.20 no.5
• /
• pp.64-69
• /
• 2007

Matrix dominant properties of composites are largely degraded under harmful environments such as temperature and humidity. Therefore we should consider the harmful environmental factors in the design of an UAV integral fuel tank subjected to high temperature and high humidity. The harmful environment experiment was performed for carbon/epoxy composites made of a unidirectional prepreg USN175B, and a plain woven fabric prepreg WSN3. The immersion experiment was performed under $90^{\circ}C$. The specimens were tested when the weight gam of specimen was saturated. The specimens were tested under $74^{\circ}C$ to obtain tensile and inplane shear properties. The results showed that the matrix dominant properties were extremely degraded by hygrothermal environment. To consider the variability of load, the anti-optimization method was applied. By using this method, the worst load case was found by comparing the load convex model and stability boundary. The stability boundary was obtained by analysis of the integral wing fuel tank of UAV using degraded properties. To do this, it was known that the worst load case of the integral wing fuel tank was the hovering mode load case.

• The Journal of the Korean dental association
• /
• v.47 no.10
• /
• pp.637-646
• /
• 2009

양성 종양(benign tumor)을 언급하기에 앞서 과오종(hamartoma) 및 과다 형성(hyperplasia)과의 차이를 구분할 필요가 있다. 양성 종양은 기원조직과 유사한 조직이 이상 증식하는 것으로 서서히 성장하지만 일반적으로 치료하기 전까지 이상 증식을 지속하는 진성 신생물을 일컫는다. 이에 비해 과오종은 정상 조직이 무질서하게 과증식하는 것으로 일정기간 후에는 성장을 멈추기 때문에 진성 신생물로 간주하지 않는다. 그러나 일부 과오종이 양성 종양에 포함되기도 하는데, 예를 들어 치아종은 정상적인 치성 조직의 성장이 완료되는 시기와 거의 동일한 시기에 성장을 멈추지만 양성 종양으로 분류된다. 과다 형성은 조직의 세포가 정상적인 배열 양상을 보이면서 세포의 수가 증가하는 것으로 지속적인 성장 양상을 보이지만 그 성장이 제한적이므로 양성 종양과는 구별된다. 양성 종양은 일반적으로 무통성으로 서서히 성장하기 때문에 종양의 크기가 증가하여 안면 종창이나 동통 등을 유발하는 경우에 발견될 수 있으며, 방사선검사에서 우연히 발견되기도 한다. 방사선검사는 병소의 위치, 범위, 특징 및 병소와 인접 해부학적 구조와의 관계 등 많은 방사선학적 진단 정보를 제공한다. 일부 종양은 방사선사진에서 매우 특징적인 소견을 나타내기 때문에 방사선학적 소견으로 예비 진단을 할 수 있을 정도의 진단정보를 제공하기도 하는 반면 어떤 종양들은 방사선사진에서 관찰되는 소견이 매우 유사하여 진단에 어려움을 주기도 한다. 따라서 종양의 확진을 위해서는 생검이 필수적이며, 방사선검사는 반드시 생검에 앞서 진행되어야만 정확한 방사선학적 진단을 할 수 있다. 양성 종양은 각각의 특징적인 방사선학적인 소견을 나타내지만 일반적으로 관찰되는 양성 종양의 특징이 존재하므로 이러한 일반적인 특징을 관찰하여 병소가 양성인지 악성인지를 감별할 수 있다. 첫째, 양성 종양은 대개 호발하는 부위가 있으므로 종양의 발생부위는 감별 진단을 하는 데 매우 중요하다. 일반적으로 치성 병소는 치아가 형성되는 하악관 상방의 치조돌기에서, 혈관성 및 신경성 병소는 하악관 내에서, 연골성 종양은 하악과두와 같이 연골세포가 잔존되어 있는 부위에서 발생하는 경우가 많다. 둘째, 양성 종양은 대체로 명확한 경계와 피질골성 변연을 보이며, 종종 병소가 결체조직으로 둘러싸여 있어 병소 주위에 방사선투과성 띠가 관찰되기도 한다. 셋째, 양성 종양은 일반적으로 인접 주위 조직에 압력을 가하면서 서서히 성장하기 때문에 인접 치아의 변위 또는 흡수, 피질골의 비박, 팽융 등의 소견을 보이며 피질골의 천공은 드물다. 방사선학적으로 양성 종양의 병소 내부는 방사선투과상으로 관찰되거나, 방사선불투과상으로 관찰되거나, 방사선투과상과 방사선불투과상이 혼재된 상으로 관찰된다. 저자는 이 지면에서 이러한 방사선학적 특징을 기초로 하여 구강악안면영역에 발생하는 양성 종양을 분류하고 각각의 특징에 대해 살펴보고자 한다.

• Journal of Korea Soil Environment Society
• /
• v.5 no.2
• /
• pp.99-105
• /
• 2000

The purpose of this study was to show the application of the Biofilter for treatment of the soil contaminated by lead and to investigates the effect of the biofilter on the retardation of lead with pilotplants that were simulated with different media and the number of bed. and to testify the inoculation by seeding microbes. The ratio of the degradation of soil contaminant was verified as CODcr/TOC in order to find a variation of the stabilization index in soil. The Biofiltration was one of biological processing methods for treatment. The contaminants were transported through the biofilter that was filled with the media. The surface of media formed biofilm which was surrounded by microbes and through its boundary, some materials were exchanged and migrated into the cell of microbes in an orderly manner. To investigate the effect of the Biofiltration, contaminated soil with lead nitrate of 1000mg/kg in dry was made artificially. The tests were simulated such as compost, Bioceramic and compost with bioceramic by 7:3 in weight. The bed consisted of three layers in order to find effect of the number of bed. Aspergillus niger was used as a biosorbent could probe the effect on the retardation of lead.

• Journal of Plant Biology
• /
• v.34 no.2
• /
• pp.129-136
• /
• 1991

Two cell types, tip cells and hyphal cells, were found at the front of Cuscuta australis endophyte growing into the stem parenchyma of the host plant, Trifolium repens. Each tip cell developed into an elongate, filamentous hypha. The cells of both types possessed a dense cytoplasm including abundant organelles and enlarged nuclei with the deeply lobed envelope. The unevenly thick walls were observed in certain tip cells. The wall penetrated through the middle lamellae of the host cells and engulfed the debris of broken host cells. Some front cells had the plasmalemma-wall invaginations, which increased the surface area and would facilitate material uptake from the host No plasmodesmata between the host and parasite cells were found; instead, an apoplastic continuity was established by fused cell walls at the interface of the two partners. The apoplast was thought to be the main route for water and nutrients transport.nsport.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.27 no.1
• /
• pp.108-112
• /
• 2000

Hypophosphatemic rickets is lack of reponse to physiologic doses of vitamin D, different from the vitamin D-dependent rickets. It is inherited in an X-linked dominant fashion. The prime features of this disorder are lowered serum phosphate levels, elevated serum alkaline phosphatase and normal serum calcium levels. The dental manifestation often include apical radiolucencies, abscess and fistulas of clinically sound teeth. Dental radiographs show ricketic bone trabeculations, abscent or abnormal lamina dura and abnormal cementum. This case which was diagnosed to hypophosphatemic rickets, showed multiple spontaneous periapical abscess and gingival fistula enlarged pulp chambers, extension of the pulp horns into the cusp tips and delayed eruption.